Viganex 20 Tablet

Viganex 20 Tablet is a tablet medicine that contains tadalafil 20 mg in each tablet. It belongs to the phosphodiesterase type 5 (PDE5) inhibitor class and is used to treat erectile dysfunction in adult men. By improving blood flow to the penis, Viganex 20 Tablet can help support an erection when sexual stimulation occurs. Because this is a 20 mg strength, it is a higher-dose tablet and should be used only when a clinician decides that this dose is appropriate.

How it works: Tadalafil in Viganex 20 Tablet relaxes the blood vessels in the penis by blocking the PDE5 enzyme, which helps increase blood flow during sexual stimulation. Because it is a tablet taken by mouth, it is absorbed into the body and works systemically rather than acting only where it is swallowed.

Viganex 20 Tablet is a higher-strength tadalafil tablet, so it is not the usual starting choice for everyone. A doctor may select this strength for men who need a stronger effect or who have not responded well to lower tadalafil doses, while also checking that it is safe for them. Compared with lower strengths, Viganex 20 Tablet may be more likely to cause dose-related side effects such as headache, flushing, or indigestion.

• Erectile dysfunction
• Difficulty getting an erection
• Difficulty keeping an erection
• Adult men prescribed tadalafil therapy

• Swallow Viganex 20 Tablet whole with a glass of water; do not crush, split, or chew unless your prescriber tells you to.
• Take it only as directed by your doctor, usually before sexual activity rather than on a fixed schedule for every person.
• You may take it with or without food, but a very heavy meal may make it take longer to start working.
• Do not take more than one Viganex 20 Tablet in 24 hours.
• Sexual stimulation is still needed for tadalafil to work.
• If your clinician gave specific timing instructions, follow those instructions for this exact 20 mg tablet.

Each Viganex 20 Tablet contains tadalafil 20 mg. This is a higher-dose tablet, and the exact dose, timing, and frequency must be set by a doctor based on your health, response, and other medicines. For tadalafil used for erectile dysfunction, this strength is generally taken no more than once per day.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Tadalafil may include:

• Headache
• Flushing
• Indigestion or heartburn
• Back pain
• Muscle aches
• Stuffy or runny nose
• Dizziness

• Do not use Viganex 20 Tablet with nitrates or nitrate-containing medicines because the combination can cause a dangerous drop in blood pressure.
• Tell your doctor if you have heart disease, low blood pressure, a recent stroke, or a recent heart attack before using this 20 mg tablet.
• Avoid heavy alcohol intake, which can increase dizziness and lower blood pressure and may make side effects more likely.
• Use caution if you have kidney or liver problems, because a higher-strength tadalafil tablet may not be appropriate for you.
• Do not take more than one tablet in 24 hours, even if the effect seems mild.
• Be careful when driving or using machinery if you feel dizzy or lightheaded after taking Viganex 20 Tablet.
• Tell your clinician about any eye problems, hearing problems, or a history of priapism before starting tadalafil.

• Nitrates such as nitroglycerin or isosorbide
• Alpha-blockers used for blood pressure or prostate symptoms
• Riociguat
• Strong CYP3A4 inhibitors such as ketoconazole, ritonavir, or clarithromycin
• Excess alcohol

Store Viganex 20 Tablet in its original strip/box at room temperature, away from moisture, heat, and direct light, and keep it out of reach of children.